Butt problem

Patient: I got a butt problem Enter Your question here…No leakage, no any things like that, it’s just that often, especially before bedtime and in the morning, I get this uncomfortable feeling that it’s loose and I almost have an urge to intentionally tighten/move the muscle. it does not hurt but it’s extremely annoying to be constantly thinking about your anus and I have to admit I even sometimes get these stupid thoughts caused by all this which I rather do not mention, so it’s obviously interfering with my life way more than it can look at first … And I’am not gay, so… you know what I mean. I’m only 16 so will someone who knows what they are talking about plez tell me that it’s all in my head?

Doctor: